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. 2023 Oct 20;120(42):711–718. doi: 10.3238/arztebl.m2023.0192

Table 2. Determinants of LT4 overtreatment and undertreatment (n = 557).

Status Determinant OR [95% CI] p
Overtreated Age 40–49 years (vs. 30–39 years) 0.89 [0.34; 2.35] 0.810
Age 50–59 years (vs. 30–39 years) 1.87 [0.73; 4.75] 0.189
Age 60–69 years (vs. 30–39 years) 2.73 [0.96; 7.74] 0.060
Age ≥ 70 years (vs. 30–39 years) 4.05 1.20; 13.72] 0.025
Sex (men vs. women) 0.84 [0.43; 1.65] 0.616
Education (low vs. middle) 0.29 [0.03; 2.52] 0.262
Education (high vs. middle) 1.22 [0.74; 2.00] 0.438
Smoking (former vs. never) 0.61 [0.36; 1.04] 0.068
Smoking (current vs. never) 1.42 [0.69; 2.92] 0.337
BMI (kg/m2, increase per unit) 0.95 [0.90; 1.01] 0.077
Diabetes (yes vs. no) 0.63 [0.21; 1.94] 0.420
Hypertension (yes vs. no) 0.79 [0.44; 1.41] 0.422
CVD (yes vs. no) 0.51 [0.19; 1.37] 0.182
CKD (yes vs. no) 1.50 [0.53; 4.24] 0.444
Iodine supplementation (yes vs. no) 1.11 [0.63; 1.96] 0.725
Polypharmacy (yes vs. no) 1.07 [0.60; 1.92] 0.812
LT4 dose (per 25 µg increase) 1.02 [1.02; 1.03] < 0.001
LT4 intake 13–36 months (vs. 0–12 months) 0.59 [0.18; 1.96] 0.389
LT4 intake > 36 months (vs. 0–12 months) 0.50 [0.18; 1.42] 0.192
Global cognition (z-score, per SD) 1.23 [0.72; 2.09] 0.445
Undertreated Age 40–49 years (vs. 30–39 years) 0.64 [0.12; 3.53] 0.607
Age 50–59 years (vs. 30–39 years) 1.58 [0.34; 7.41] 0.560
Age 60–69 years (vs. 30–39 years) 1.42 [0.23; 8.76] 0.703
Age ≥ 70 years (vs. 30–39 years) 1.72 [0.21; 14.27] 0.617
Sex (men vs. women) 1.42 [0.47; 4.32] 0.539
Education (low vs. middle)
Education (high vs. middle) 0.85 [0.35; 2.09] 0.725
Smoking (former vs. never) 0.78 [0.29; 2.09] 0.623
Smoking (current vs. never) 1.93 [0.56; 6.64] 0.299
BMI (kg/m2, increase per unit) 0.96 [0.87; 1.06] 0.418
Diabetes (yes vs. no) 1.16 [0.20; 6.63] 0.867
Hypertension (yes vs. no) 0.97 [0.33; 2.81] 0.951
CVD (yes vs. no) 3.04 [0.80; 11.56] 0.103
CKD (yes vs. no) 2.08 [0.42; 10.39] 0.370
Iodine supplementation (yes vs. no) 0.27 [0.06; 1.27] 0.097
Polypharmacy (yes vs. no) 0.67 [0.21; 2.13] 0.494
LT4 dose (per 25 µg increase) 1.02 [1.00; 1.03] 0.017
LT4 intake 13–36 months (vs. 0–12 months) 0.26 [0.03; 2.23] 0.220
LT4 intake > 36 months (vs. 0–12 months) 0.42 [0.08; 2.23] 0.312
Global cognition (z-score, per SD) 1.37 [0.55; 3.46] 0.499

The sample size is based on persons with complete data on all determinants.

BMI, Body mass index; CI, confidence interval; CKD, chronic kidney disease; CVD, cardiovascular disease; LT4, levothyroxine; n, number of participants; OR, odds ratio; SD, standard deviation; vs., versus